Reynolds, Charlene

Reynolds, Charlene is an individual health care provider with primary practice located at 10000 W Colonial Dr , Ocoee FL 34761-3400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Reynolds, Charlene can be contacted via phone (407) 667-0444.

Contact Information

Primary practice address
10000 W Colonial Dr Ocoee FL 34761-3400
Phone: (407) 667-0444
Fax: (407) 667-4338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2939712 Florida

Profile Details

NPI number 1588004949
LBN Legal business name Reynolds, Charlene
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2013
Last updated Jul 1st, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588004949 NPPES
Florida Other PENDING BCBS
Florida MEDICAID PENDING BCBS

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